Individual
MS. VANJA PETROMAN BUCKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1053 S BIG BEND BLVD, #200, SAINT LOUIS, MO 63117-1605
(636) 549-7700
Mailing address
1053 S BIG BEND BLVD, #200, ST. LOUIS, MO 63117
(636) 549-7700
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/09/2008
Last updated
10/01/2016
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